NUR2633 Exam 3 Concept Guide
NUR2633 Exam 3
Growth & Development—know Erikson’s and milestones,
• Pediatric pain assessment
- Morphine (always try least evasive first)
• Impact of nutrition
- Plays a big role in growth and development
- Because of sporadic behavior, toddler may also go on food fads or “jags,” preferring only one item
and refusing others that were preferred in the past
• Play
- Use of transitional object to help kids understand procedures
- Have them demonstrate the procedure if they’d had it before
• Socialization
- The use of child life specialist & playrooms
• Communicating with pediatric client
- use words that the child understands
Congenital vs Acquired conditions
• Congenital conditions
- Present at birth
- Genetic conditions
- Know heart defects
• Acquired conditions
- Could be seen shortly after birth or after
Recognize abnormal signs and symptoms associated with alterations in GI, Respiratory,
Cardiac, Musculoskeletal, Urinary, & Neurosensory systems
Cardiac - Tripod/ color changes/ tissue integrity, Activity change/fatigue, Anorexia
GI – knowing fluid balance, s/s of dehydration, acute abdominal pain, currant jelly stools (intussesception &
Meckel Diverticulum), fever, dehydration, abdominal distention, lethargy and grunting due to pain,
Periumbilical pain, Right lower quadrant pain (classic sign appendicitis)
Respiratory –
Musculoskeletal
Urinary –
Neuro -
Nursing assessments for GI, Respiratory, Cardiac, Musculoskeletal, Urinary & Neurologic
, Cardiac – know daily weight, Oxygenation, Perfusion, Pain, Activity/mobility, Rest, Nutrition
GI - Liver and pancreas don’t mature until 6 mos of age, Nutrition, Risk factors of the GI system, Dehydration,
Constipation, Diarrhea/ vomiting, Replacing fluids (ORS vs IV therapy)
Respiratory – Oxygenation, Rest, Mobility, Nutrition, Growth, Infection
Musculoskeletal – Sprains, Fractures, Child abuse, Care of sprains/Casts, Traction, Immobiliztion – affects every
system of the body, Nursing interventions
Urinary –
Neuro - Seizure management /Nursing interventions, Glascow Neuro scale,, LOC – level of consciousness, ICP,
Nursing interventions
Nursing priorities and interventions for GI, Respiratory, Cardiac, Musculoskeletal, Urinary &
Neurologic complications
Cardiac – Digoxin, Lasix
GI – surgery, Elimination, Mobility, Nutrition, Hydration (Daily weights – 1GM = 1ml), Oral vs IV rehydration
Respiratory –
Musculoskeletal
Urinary –
Neuro -
Care of the hospitalized child/stress/separation anxiety
Pain management
How do you diagnose cardiac anomalies?
Nursing priorities/care of child undergoing cardiac catheterization
- VS:q15 min x 4, q 1hr x2, then q 2 hr x 2, then q 4hrs
- Keep IV open
- Check pulses with VS especially the affected extremity (where?)
- Give Acetaminophen for pain
- Keep flat in bed for 6 hrs
- Check pressure drsg for bleeding if bleeding (…….)
- Call with C/O abd pain or no void
- Increase diet as tolerated
- Give antiemetics for nausea
NUR2633 Exam 3
Growth & Development—know Erikson’s and milestones,
• Pediatric pain assessment
- Morphine (always try least evasive first)
• Impact of nutrition
- Plays a big role in growth and development
- Because of sporadic behavior, toddler may also go on food fads or “jags,” preferring only one item
and refusing others that were preferred in the past
• Play
- Use of transitional object to help kids understand procedures
- Have them demonstrate the procedure if they’d had it before
• Socialization
- The use of child life specialist & playrooms
• Communicating with pediatric client
- use words that the child understands
Congenital vs Acquired conditions
• Congenital conditions
- Present at birth
- Genetic conditions
- Know heart defects
• Acquired conditions
- Could be seen shortly after birth or after
Recognize abnormal signs and symptoms associated with alterations in GI, Respiratory,
Cardiac, Musculoskeletal, Urinary, & Neurosensory systems
Cardiac - Tripod/ color changes/ tissue integrity, Activity change/fatigue, Anorexia
GI – knowing fluid balance, s/s of dehydration, acute abdominal pain, currant jelly stools (intussesception &
Meckel Diverticulum), fever, dehydration, abdominal distention, lethargy and grunting due to pain,
Periumbilical pain, Right lower quadrant pain (classic sign appendicitis)
Respiratory –
Musculoskeletal
Urinary –
Neuro -
Nursing assessments for GI, Respiratory, Cardiac, Musculoskeletal, Urinary & Neurologic
, Cardiac – know daily weight, Oxygenation, Perfusion, Pain, Activity/mobility, Rest, Nutrition
GI - Liver and pancreas don’t mature until 6 mos of age, Nutrition, Risk factors of the GI system, Dehydration,
Constipation, Diarrhea/ vomiting, Replacing fluids (ORS vs IV therapy)
Respiratory – Oxygenation, Rest, Mobility, Nutrition, Growth, Infection
Musculoskeletal – Sprains, Fractures, Child abuse, Care of sprains/Casts, Traction, Immobiliztion – affects every
system of the body, Nursing interventions
Urinary –
Neuro - Seizure management /Nursing interventions, Glascow Neuro scale,, LOC – level of consciousness, ICP,
Nursing interventions
Nursing priorities and interventions for GI, Respiratory, Cardiac, Musculoskeletal, Urinary &
Neurologic complications
Cardiac – Digoxin, Lasix
GI – surgery, Elimination, Mobility, Nutrition, Hydration (Daily weights – 1GM = 1ml), Oral vs IV rehydration
Respiratory –
Musculoskeletal
Urinary –
Neuro -
Care of the hospitalized child/stress/separation anxiety
Pain management
How do you diagnose cardiac anomalies?
Nursing priorities/care of child undergoing cardiac catheterization
- VS:q15 min x 4, q 1hr x2, then q 2 hr x 2, then q 4hrs
- Keep IV open
- Check pulses with VS especially the affected extremity (where?)
- Give Acetaminophen for pain
- Keep flat in bed for 6 hrs
- Check pressure drsg for bleeding if bleeding (…….)
- Call with C/O abd pain or no void
- Increase diet as tolerated
- Give antiemetics for nausea
